Imaging Modality and Management of Hepatic Injury in the Trauma Setting
Anthony J Brusnahan
Article Type: Case Report | First Published: February 20, 2020
Through the use of imaging, liver injuries in the setting of blunt abdominal trauma have become easier to grade. These liver injury grades, formed by The American Association for the Surgery of Trauma, have been used to recommend operative versus non-operative management. However, the utilization of a relatively new approach offered by the World Society of Emergency Surgery is taking hemodynamic stability into account. As a result, more patients with severe liver injuries are being managed non-operatively. Mortality rates have improved, but morbidity continues to rise due to increased complica...
Predictors of Dengue Shock Syndrome: APTT Elevation as a Risk Factor in Children with Dengue Fever
Vijayaraghavan, MD, Thay Wee Ying, MD, Foong Shing Weu, MD and Hafsa Palile
Article Type: Original Article | First Published: February 17, 2020
A retrospective study was conducted to investigate the risk factors in dengue cases admitted from 2005 to 2010 in Tawau Hospital, Sabah. A total of 732 cases admitted as suspected dengue were analysed and out of it 203 patients were found to be positive for dengue serology. Clinical and Laboratory data’s were collected and analysed for the risk factors. In our observation over period of time we found APTT was raised in most of the DHF/DSS. So want to see the significance of APTT as a risk factor. Out of the risk factors APPT was significantly raised more than the other risk factors. Not many...
Results of an Intervention Model in Intestinal Parasitosis in Parents Havana 2019-2020
Osvaldo Batista Rojas, MSc
Article Type: Research article | First Published: February 20, 2020
An educational intervention study on intestinal parasitism was carried out in parents of parasitized children of Capitan San Luis de Marianao Elementary School, Havana in the period May 2018-2019, with the purpose of modifying the knowledge in these parents against some hygienic- sanitary aspects in order to reduce the incidence of disease through the application of a program of educational activities. Knowledge was determined through the use of a structured questionnaire. And social activities From a total of 125 parents, a random sample was selected and the questionnaire was administered to ...
Torque and Electrical Activation of the Rectus Femoris Muscle at Distinct Joint Angles: A Case Study
Anelize CINI, Francesca SONDA, Izabel de Almeida PAZ, Ana Paula Janner ZANARDI and Grazielle Martins GELAIN
Article Type: Case Report | First Published: February 21, 2020
The angulation of knee and hip joints affect isometric contractions of Rectus Femoris muscle (RF) during knee extension. Literature states that torque-angle relationship depends on muscle length and neuromuscular electrical activation. However, it is still not clear whether the maximum neuromuscular activation changes concomitantly with the change in the joint angles considering the presence of muscle shortening. We present a case study in which we analyzed changes in neuromuscular activation and peak torque of the RF at distinct joint angles of hip and knee. The search for evidence in the the...
A Novel Oblique Impact Test Rig for Testing Helmet
Daniel E Abram, Adrian Wikarna, Farid Golnaraghi and G Gary Wang
Article Type: Research Article | First Published: February 13, 2020
In this work, a new test rig is introduced to assess various head impact scenarios on different types of helmets. The test rig is a free-fall system where a helmeted headform is suspended instead of being placed on a basket frame and detaches from the system before the impact allowing an unrestricted motion. The proposed testbed showed to be effective in performing helmet impact tests at different angles. The test rig is particularly effective in tests at steep anvil angles, such as 15°, which could be problematic utilizing conventional test rigs with a basket frame. This is because, right be...
Bacterial Contamination from Intraoperative Endotracheal Suctioning in Songklanagarind Hospital
Kwanruthai Narunart, MD, Wirat Wasinwong, MD, Sirikarn Siripruekpong, MD, Amphan Chantarokorn, BNS and Riam Kosem, BNS
Article Type: Research Article | First Published: February 17, 2020
This prospective randomized controlled trial in 276 patients of age more than 18-years-old who had American Society of Anesthesiologists (ASA) class I-III and scheduled for elective surgery and had no risk of aspiration were enrolled and randomly assigned into two groups. The patients with general anesthesia with oroendotracheal intubation were included. Endotracheal suctioning was performed by the decision of anesthesiologists or anesthetic nurses with sterile or clean technique regarding the group assignment. Secretion collected from the suction catheter was sent to the microbiology laborato...
The Radiology Research Situation in the Philippines: Identifying the Barriers and Limitations for Future Directions
Joanna Marie D Choa, MD and Mariaem M Andres, MD
Article Type: Original Article | First Published: February 14, 2020
This descriptive-cross sectional study was conducted under the approval of an institutional review board with informed consent of the participants. The study involved a nationwide scope of radiology residents and employed the use of a validated 34-item printed questionnaire with informed consent form. Respondents were asked to grade their level of agreement with the statements using a Likert Scale. A space for free-text comments and/or opinions was provided at the end of the survey. Appropriate statistics were employed in the analysis of data. Trainees agreed that research should be part of th...
Association between Sociodemographic Factors and Sleeping Patterns from Infancy to Four Years of Life in Saudi Community
Gigi Sam, Sarah Zinaf, Maha Hamoud and Noora Inad
Article Type: Original Article | First Published: February 13, 2020
Sleep is a prime factor of healthy development and has been associated with emotional, behavioural, and cognitive development. This study investigates sleep parameters and associated sociodemographic characteristics in a population-based online method in Saudi children from infancy to four years of life. A Brief Infant Sleep Questionnaire (BISQ) for sleep assessment was made available to participants through the web link in Arabic language and were filled by the mothers. The target population were divided into three age groups: 0-11 months, 1-2 years, and 2-4 years. Questions related to demogr...
Methotrexate Associated Toxicity: An Alarming Benign Entity
Cristiana F Martins, Bruno Loureiro, Catarina Magalhaes, Isabel Rodrigues, Monica Costeira, Ana Maia, Augusto Ferreira, Catia Sousa and Tereza Oliva
Article Type: Case Report | First Published: February 13, 2020
An 11-year-old girl with lymphoblastic lymphoma, who presented a history of leukoencephalopathy, which mimicked stroke one week after receiving high doses of intravenous methotrexate. The patient’s symptoms completely improved within two days without sequels. Ten days after a new administration of methotrexate presented right-side hemiparesis and dysarthria. Again, with full resolution. Brain magnetic resonance scan was indispensable for diagnosis. The patient was discharged home without neurological symptoms. Neurotoxicity associated with methotrexate is transient and most patients continue...
Prosthodontic Rehabilitation of a Cleft Patient with Andrews Bridge: A Case Report
Rachana Chaudhary, Dinesh Kumar, Amit Khattak, R K Yadav, Anup Gopi and Dhruv Sharma
Article Type: Resear ch Article | First Published: February 19, 2020
Complete aesthetic surgical replacement of the lost tissues is difficult and unpredictable, particularly when a greater degree of the residual ridge has been lost due to trauma, congenital defects or other pathologic process. When treating cleft-palate patients with congenital or acquired defects, the Andrews bridge permits rehabilitation with a fixed-removable partial denture when conventional methods are contraindicated. This system permits the replacement of the lost teeth as well as supportive structures necessary for proper aesthetics. It provides access to an oral-nasal fistula when one ...